Why are my nipples different shapes/sizes? Extent of gynecomastia? (photos)

Thank you for your question. Based on your photos provided, it appears that you have gynecomastia. The nipples can also be treated as well. I would advise you to schedule a consultation with a board certified plastic surgeon for a detailed examination to discuss all possible treatment options and what your expectations are.

Healthy male patients with excess breast tissue or unwanted breast development who have no underlying breast disease.Men who desire improved physical and aesthetic appearance should have realistic expectations based on their condition and the procedure performed. You should meet with a board certified plastic surgeon to be able to get a formal diagnosis and to be able to decide on a course of treatment if necessary.

     Nipple reduction and gynecomastia reduction can be performed at the same time and will improve the look of your overall chest.  Find a plastic surgeon with ELITE credentials who performs hundreds of body contouring procedures each year.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.  Kenneth Hughes, MD Los Angeles, CA

Gynecomastia is characterized by enlarged breast tissue and affects an astonishing 40 to 60% of men. Fortunately, the condition is easily reversed with liposuction just by making a small incision under the nipple. It is now possible to reduce the size of the breast using virtually scarless technique.  Through a small incision around the nipple  Liposuction with ultrasound and  fine laser beams liquefy the fat and glandular tissue recontouring the breastaround the areola and from the sides and bottom of the breasts. Because liposuction stimulates the skin to tighten, a smooth contour after fat is removed is possible.

Thank you for the question and pictures. Despite your good quality pictures, nothing will replace in-person examination to determine whether your chest wall "fullness" is related to breast or adipose tissue. This distinction is important when it comes to determining the appropriate operation to achieve your goals. Lipomastia can be treated with liposuction surgery whereas gynecomastia usually requires direct excision of breast tissue and/or liposuction surgery.

 If the lenghth/size of the nipple is concerning, nipple reduction surgery is an option to consider.

 You may find the attached link helpful to you as well.

 Best wishes.

Hi.

1)  You do appear to have gynecomastia, which can be well treated.  Cannot tell from one picture how much is fat and how much is gland.  It doesn't really matter.

2)  Whether you have the gynecomastia corrected or not,  you should have the large nipple reduced, since it clearly bothers you.  This is simple to do under local anesthesia.